Prestige Care Center of Plattsmouth

In the surveyor’s words

From the most serious findings on record at Prestige Care Center of Plattsmouth, in the surveyor’s own words.

• Actual harm, isolatedF686Jan 24, 2023

  Licensure Reference Number: 175 NAC 12-006.09D2a and 175 NAC 12-006D2b Based on observations, record review and interviews; the facility failed to provide care and treatment to prevent pressure ulcers and promote healing of pressure ulcers for 2 residents, Resident 24 and 75. The facility census was 88. Findings are: A. Review of Resident 75's admission assessment dated [DATE] revealed Resident 75 was admitted on [DATE]. Review of Resident 75's Skin assessment on admission revealed Resident 75 had no skin issues on admission. Review of Resident 75's Summary of Skilled Services 8/3/2022 in the progress notes of the Electronic Medical Record (EMR) revealed Resident 75 has paralysis on their right side from a stroke and utilizes a brace to their right foot. […]

• Actual harm, isolatedF865Jan 24, 2023

  Licensure Reference Number: 175 NAC 12-006.07 Based on observations, record reviews and interviews; the facility failed to maintain a quality assurance performance improvement plan to address current and past non-compliance with federal and state regulations. The facility census was 88. Findings are: Review of the facility policy titled Quality assurance Performance Improvement (QAPI) Plan dated January 1,2020 revealed the plan is to establish and maintain an organized facility-wide program that is data-driven and utilizes a proactive approach to improving quality of care and services throughout the facility. […]

• No harm, potential for more than minimal, widespreadF812Apr 2, 2026

  Nebraska Licensure reference: NAC 75: 12-006.11(E); NAC 75: 12-007.10(A) Based on observation, interview, and record review, the facility failed to ensure all foods were labeled, sealed, and dated after opening, ensure outdated foods were not available for use, and satellite refrigerators were kept clean, ensure staff performed hand hygiene and gloving to prevent cross contamination during meal prep and dining, and failed to handle resident dinnerware and utensils in a sanitary manner. The facility census was 87 residents.Findings are: Record review of the facility Food Safety Requirement policy revised 03/2026 revealed the following: -Food safety practices shall be followed throughout the facility's entire food handling process. […]

• No harm, potential for more than minimal, widespreadF880Apr 2, 2026

  Licensure Reference Number 175 NAC 12.006.19(C)(i)Licensure Reference Number 175 NAC 12.006.18(B)Licensure Reference Number 175 NAC 12.006.18(D)Based on observation, interview, and record review, the facility failed to ensure staff handled clean clothing and linens, completed hand hygiene during 1 (Resident 2) of 4 sampled resident's wound care, failed to ensure a medication aide wore gloves when opening a medication capsule for 1 (Resident 69) of 4 sampled residents, failed to ensure 1 (Resident 34) of 1 sampled resident's Continuous Positive Airway Pressure device (CPAP)(a machine used to treat sleep apnea) mask and nebulizer (neb)(a machine used to deliver liquid medications to the lungs) kit were stored, failed to ensure staff performed hand hygiene between glove changes to prevent… […]

• No harm, potential for more than minimal, widespreadF923Apr 2, 2026

  Licensure Reference Number 175 NAC 12.007.04(D)Licensure Reference Number 175 NAC 12.006.19(A)Licensure Reference Number 175 NAC 1.009.02Based on observation, interview, and record review, the facility failed to ensure the exhaust ventilation system was working in all resident's restrooms. This affected all residents that resided in the facility. The facility census was 87. Findings are:A record review of the facility's Safe and Homelike Environment policy with a date reviewed/revised of 03/2026 revealed the resident rooms would have adequate outside ventilation by means of windows, or mechanical ventilation, or a combination of the two. […]